Physical Therapy Evaluation (moderate complexity) at Providence Holy Family Hospital
5633 N Lidgerwood, Spokane, WA · Providence · · NPI 1225289895
$212.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$304.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$100.90 with Kaiser vs $466.39 with Aetna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Kaiser | Medicare Managed Care Plan | $100.90 | ↓ -53% |
| Blue Cross | Premera Medicare Managed Care Plan | $104.94 | ↓ -51% |
| Unitedhealthcare | Medicare Managed Care Plan | $107.96 | ↓ -49% |
| Blue Shield | Asuris Medicare Managed Care Plan | $108.97 | ↓ -49% |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $110.99 | ↓ -48% |
| Blue Cross | Premera Heritage Exchange | $157.83 | ↓ -26% |
| Community Health Plan | Cascade Care Exchange | $161.44 | ↓ -24% |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $181.62 | ↓ -15% |
| Coordinated Care | Ambetter Exchange | $186.67 | ↓ -12% |
| Blue Cross | Premera All Commercial Plans | $201.06 | ↓ -6% |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Commercial Plan | $264.86 | ↑ +24% |
| Kaiser | All Commercial Plans | $310.57 | ↑ +46% |
| Aetna | All Commercial Plans | $466.39 | ↑ +119% |
Visitor-reported prices
Comments
Physical Therapy Evaluation (moderate complexity) at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Luke's Rehabilitation Medical Center | Spokane | $304.30 | $100.90 – $110.99 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $471.10 | $100.90 – $256.79 |
| MultiCare Deaconess Hospital | Spokane | $190.00 | $59.54 – $453.45 |
| Providence St Joseph Hospital | Chewelah | $123.20 | not published |
| Swedish Medical Center - First Hill Campus | Seattle | $254.88 | $80.72 – $306.53 |
| Swedish Medical Center Cherry Hill | Seattle | $254.88 | $80.72 – $263.09 |
| Swedish Issaquah | Issaquah | $254.88 | $80.72 – $224.00 |
| Central Medical Center | Seattle | $312.00 | not published |